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Formulas & Strategies > CH6: Formulas that Warm the Interior, Dispel Cold > Flashcards

CH6: Formulas that Warm the Interior, Dispel Cold Flashcards

1
Q

Functions of formulas that warm interio and dispel cold?

A
  • Warm the interior
  • Assist yang
  • Dispel cold
  • Open meridians
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2
Q

Indications for Wen Li Ji (formulas taht warm interior, dispel cold)?

A
  • Interior cold syndrome, including deficiency cold in middle jiao, Yin excess and Yang declining, yang collapse, cold stagnation in meridian
  • Major symptoms: chills, no fever, preferring warmth, bland mouth, no thirst, profuse clear urine, pale tongue, white coating, deep slow pulse
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3
Q

Precautions for Wen Li Ji?

A
  1. Contraindicated to excessive heat, yin xu, loss of blood, summer time
  2. Often used in combination with herbs that tonify yang
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4
Q

Subcategory 6.1 “Formulas to warm middle jiao, dispel cold” Indications?

A

Deficiency cold in spleen and stomach

  • Abdominal bloating
  • Acid regurgitation
  • Appetite poor
  • Cold extremities
  • Diarrhea
  • Fatigue/lassitude
  • N/V, nausea and vomiting
  • Pain in stomach
  • Pulse: deep thin or deep slow
  • Thirst absent
  • Tongue: white slippery coating
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5
Q

Li Zhong Tang

A

Decoction to regulate the middle jiao (spleen and stomach)

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6
Q

Ingredients for Li Zhong Tang?

A
  1. Gan Jiang 9g
  2. Ren Shen 9g
  3. Bai Zhu 9g
  4. Gan Cao 9g
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7
Q

Functions of Li Zhong Tang?

A
  • Warm the middle jiao, dispel cold
  • Tonify qi and strengthen the spleen
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8
Q

Indications for Li Zhong Tang?

A

Weakness and coldness of spleen and stomach including:

  1. stomach and intestine disorders
  2. loss of blood due to spleen yang deficiency
  3. infantile convulsions
  4. cough with thin phlegm
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9
Q

Manifestation and Pathogenesis for gastric region or abdominal pain with no thirst?

A

Yang deficiency, coldness produced in the interior

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10
Q

Manifestation/Pathogenesis for

diarrhea, vomiting, poor appetite

A

Deficiency cold in middle jiao

Disorder of spleen and stomach in transportation and transformation

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11
Q

Manifestation/Pathogenesis for

cold limbs?

A

Deficiency of spleen yang which cannot warm the limbs

Note: not severe cold limbs, does not go above elbows or knees

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12
Q

Manifestation/Pathogenesis for

pale tongue, deep forceless slow pulse?

A

Yang deficiency

Retention of phlegm and dampness in the interior

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13
Q

Actions of Gan Jiang?

A

King

Warm the middle jiao and dispel coldness

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14
Q

Actions of Ren Shen?

A

Deputy

Tonify qi of spleen

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15
Q

Actions of Bai Zhu?

A

Asisstant

Tonify spleen

Dry dampness

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16
Q

Actions of Gan Cao?

A

Harmonize

Tonify qi in SP/ST

Strengthen spleen to resolve dampness

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17
Q

Characteristics of herbal combination?

(Three methods)

A
  1. Warm interior
  2. Tonify deficiency
  3. Dry dampness

All at same time. Mainly warming!

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18
Q

What are the key symptoms ot look for?

A
  1. Coldness, limbs, intolerance to cold
  2. Diarrhea
  3. Pain
  4. Vomiting
  5. Tongue: pale
  6. Pulse: deep and thready
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19
Q

Western medical disease?

A
  1. Angina
  2. Blood in stool
  3. Chronic diarrhea
  4. Indigestion
  5. Ulcer: gastric/duodenal
  6. Uterine bleeding
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20
Q

What are the precautions for Li Zhong Tang?

A

Not suitable for:

  1. Damp heat in middle jiao
  2. Yin deficiency of Stoamch
  3. External invasion, EPI
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21
Q

What is a modification for severe yang deficiency?

A

Fu Zi

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22
Q

What is the modification for loss of blood due to yang deficiency cold?

A
  • Ai Ye (folium artimesia, Mugwort)
  • E Jiao (donkey hide glue)
  • Lu Jiao Jiao (deer horn glue)
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23
Q

Modification for Leucorrhea due to dampness flowing downward caused by weakness of spleen?

A
  1. Lu Jiao Shuang (Lu Rong, degelatinated deer antler powder)
  2. Shan Yao (Chinese yam)
  3. Tu Si Zi (Chinese dodder seed, cuscuta)
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24
Q

What are the modification added for long term diarrhea?

A
  1. Chao Yi Yi Ren (Job’s tears, Coix seed)
  2. Fu Ling
  3. Qian Shi
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25
Q

Wu Zhu Yu Tang

A

Decoction of evodia fruits combination

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26
Q

Ingredients of Wu Zhu Yu Tang?

A
  1. Wu Zhu Yu 9g
  2. Sheng Jiang 18g
  3. Ren Shen 6g
  4. Da Zao 12 pcs
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27
Q

Functions of Wu Zhu Yu Tang?

A
  1. Warm and tonify spleen and stomach
  2. Descend qi stop vomiting
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28
Q

Main indications of Wu Zhu Yu Tang?

A
  1. Vomiting due to weakness and coldness in spleen/stomach and rebellious qi
  2. Vertex headache of Jueyin Liver meridian
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29
Q

Manifestation/Pathogenesis for

vomiting right after intake of food, acid regurgitation, stifling sensation/pain/fullness in epigastric region

A

Weakness and coldness of spleen and stomach leading to upward perversion of stomach qi

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30
Q

Manifestation/Pathogenesis for

retching or vomiting with saliva?

A

Upward rebellion of stomach qi and harmful water

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31
Q

Manifestation/Pathogenesis for

vertex headache?

A

Upward attack of Liver Qi affected by weakness and coldness of spleen/stomach

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32
Q

Manifestation/Pathogenesis for

vomting, diarrhea?

A

Weakness, coldness of spleen/stomach leading to diarrhea due ot internal retention of fluid and dampness

Dysfunction of spleen and stomach in ascending and descending

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33
Q

Manifestation/Pathogenesis for

cold limbs?

A

Excessive cold leading to yang deficiency which cannot warm the limbs

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34
Q

Manifestation/Pathogenesis for

irritability?

A

Excess cold leading to a struggle between yin and yang

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35
Q

Manifestation/Pathogenesis for

pale tongue with white and watery coating, slow pulse?

A

Cold, retention of dampness and turbid phlegm fluid

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36
Q

Actions of Wu Zhu Yu?

A

King

  1. Warm stomach and liver
  2. Stop vomiting
  3. Descend rebellion
  4. Stop pain
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37
Q

Actions of Sheng Jiang?

A

Deputy

  1. Dispel cold
  2. Conduct rebellious qi downward
  3. Relieve vomiting
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38
Q

Actions of Ren Shen?

A

Assistant

  1. Tonify qi of spleen and stomach
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39
Q

Actions of Da Zao?

A

Messenger

Harmonize and tonify qi of spleen/stomach

40
Q

Characteristics of Wu Zhu Yu Tang combination?

A

Warm middle herbs combined with descending and stop vomiting herbs

41
Q

Key symptoms for choosing Wu Zhu Yu Tang?

A
  1. Cold limbs
  2. No thirst
  3. Vomiting/retching
  4. Tongue: pale, slippery coating
  5. Pulse: thready slow
42
Q

Western diseases?

A
  1. Acute and chronic gastritis
  2. Meniere’s syndrome (disorder of the inner ear leading to vertigo)
  3. Migraines
  4. Neurotic headache?
43
Q

Precautions/contraindications for Wu Zhu Yu Tang?

A

DO NOT USE FOR:

Headache due to Liver Yang rising

Vomiting due to Heat in Stomach

44
Q

Modification for severe headache?

A
  1. Chuan Lian Zi (Fructus Toosendan, Sichuan Chinaberry) Herbs that regulate Qi
  2. Chuan Xiong (Lovage rhizome) Herbs that Invigorate Blood
45
Q

Xiao Jian Zhong Tang

A

Minor decoction to restore normal function of middle jiao

46
Q

Xiao Jian Zhong Tang Ingredients?

A
  1. Bai Shao 18g
  2. Yi Tang 30g
  3. Gui Zhi 9g
  4. Sheng Jiang 9g
  5. Dao Zao 12 pcs
  6. Gan Cao 6g
47
Q

Xiao Jian Zhong Tang functions?

A
  • Warm and tonify middle jiao
  • Dispel cold and stop pain, gastric pain
48
Q

Main indications for Xiao Jian Zhong Tang?

A

Abdominal pain due to weakness and coldness in spleen and stomach

49
Q

Manifestations and Pathogenesis for

paroxysmal pain in epigastric region, relieved by warmth and pressure?

A
  1. Weakness and coldness in spleen and stomach
  2. Pathogenic cold blocking meridians and collaterals which gives rise to pain
50
Q

Manifestations and Pathogenesis for

palpitations, restlessness, pale tongue with thin white coating?

A

Signs of deficiency and cold

51
Q

Manifestations and pathogenesis for

thready and weak pulse, lassitude?

A

deficiency

52
Q

Actions of Bai Shao and Yi Tang?

A

King Herbs

  1. Tonify blood
  2. Tonify qi
  3. Relax muscle and stop pain
53
Q

Actions of Gui Zhi?

A

Deputy

  1. Warm spleen and stomach
  2. Dispel cold
  3. Promote circulation of meridians and collaterals
54
Q

Actions of Sheng Jiang and Da Zao?

A

Assistant and Messenger

Tonify and strengthen spleen and stomach for production of qi and blood

55
Q

Characteristics of combination?

A

Warming, tonifying and drying methods used together, but major action is warming to dispel cold and strengthen spleen

56
Q

Key symptoms for Xiao Jian Zhong Tang?

A
  1. Abdominal pain better with warmth and pressure
  2. Palpitation
  3. Weak pule
57
Q

Western diseases?

A
  • Gastric and duodenal ulcers
  • Palpitations due to blood deficiency which cannot nourish the heart
58
Q

Precautions for Xiao Jian Zhong Tang?

A

DO NOT USE FOR

  1. Fullness of epigastric region due to stagnation
  2. Yin deficiency leading to stomach pain
59
Q

If Dang Gui is added to Xiao Jian Zhong Tang, what will that help with?

A
  • Severe blood deficiency
  • Post partum abdominal pain with shortness of breath and dizziness
60
Q

If Huang Qi is added it Creates Huang Qi Jian Zhong Tang. What is this modification for?

A

Severe Qi Deficiency

61
Q

Subcategory 6.2 Formulas that Reverse Yang, arrest Yang Collapse Indications and manifestations?

A

Decline or collapse of Yang

  1. Aversion to cold
  2. Cold extremities
  3. Diarrhea
  4. Poor spirit
  5. Profuse sweating
  6. Pulse: faint and thin
62
Q

Si Ni Tang?

A

Decoction to treat cold limbs

63
Q

Ingredients of Si Ni Tang?

A
  1. Fu Zi 5-10g
  2. Gan Jiang 6-9g
  3. Gan Cao 6g
64
Q

Functions of Si Ni Tang?

A

Restore Yang

Arrest Yang from Collapse

65
Q

Manifestations and pathogenesis of

cold limbs, intolerance to cold, sleeping curled up?

A

Yang deficiency fails to warm the limbs

66
Q

Manifestations and pathogenesis of

fatigue and sleepiness?

A

Yang Deficiency

67
Q

Manifestation and pathogenesis of

vomiting, diarrhea, abdominal pain, indigestion?

A

Decline of yang of the spleen

68
Q

Manifestations and pathogenesis for

no thirst?

A

Deficiency of yang causing dampness

69
Q

Manifestations and pathogenesis of

pale tongue with white coating, thready and forceless pulse?

A

Signs of excess yin for pale tongue with white coating

Signs of declined yang in thready and forceless pulse

70
Q

Action of Fu Zi?

A

King

Restore Yang

Dispel Cold

71
Q

Actions of Gan Jiang?

A

Deputy

Warm spleen and stomach

Dispel internal coldness

72
Q

Gan Cao Actions?

A

Messenger

Harmonize actions of other herbs

Promote Qi Circulation

73
Q

Characteristics of herbal combination

A

Simple combination with focused effect. Very pungent and very hot herbal combination to rescue Yang.

Simultaneously combined with sweet harm herb to harmonize and slow down the bitter, hot, pungent property. Allows decoction strength to last longer.

74
Q

Key symptoms for Si Ni Tang?

A
  • Cold limbs
  • Poor spirit
  • Sleepiness
  • Indistinct weak pulse
75
Q

Western diseases for Si Ni Tang?

A
  1. Acute gastritis
  2. Diarrhea
  3. Eema due to Yang deficiency
  4. Heart attack
  5. Heart failure
  6. Profuse sweating
  7. Shock
76
Q

Precautions and Contraindications for Si Ni Tang?

A

For patients with Yang or Qi Collpase this is an emergency condition. Emergency care with conventional medicine is essential!! Call 911

77
Q

What can be added to Si Ni Tang if there are more cold symptoms?

A

Increase amount of Fu Zi and Gan Jiang

78
Q

What modifications can be made for deficiency body constitution?

A

Add

  • Huang Qi
  • Ren Shen
79
Q

Herbs to add for Spleen Deficiency?

A
  • Bai Zhu (White Atractylodis rhizome) Tonify Qi
  • Shan Yao (Chinese Yam) Tonify Qi
80
Q

Herbs to add for abdominal pain?

A
  • Bai Shao (White Peony Root) Tonify Blood
  • Gan Cao (Licorice Root) Tonify Qi
81
Q

Subcategory 6.3 Formulas that Warm Meridian, Dispel Cold

What are the indiations and manifestations?

A

Cold stagnation in the meridian

  • Cold extremities
  • Joint pain
  • Numbness of extremities
  • Yin type sores
82
Q

Dang Gui Si Ni Tang

A

Decoction of Chinese Angelica combination to treat cold limbs

83
Q

Ingredients? (Just know Chief and Deputy)

A
  1. Dang Gui 9g (Chief)
  2. Gui Zhi 6g (Chief)
  3. Bai Shao 9g (Deputy)
  4. Xi Xin 1.5g (Deputy)
  5. Tong Cao 3g
  6. Da Zao 20 pcs
  7. Gan Cao 6g
84
Q

Function of Si Ni Tang?

A
  • Warm meridians and dispel cold
  • Nourish the blood
85
Q

Indications for Si Ni Tang?

A

Cold hands and feet caused by deficiency of blood and qi

86
Q

Manifestation and pathogenesis for

cold limbs, cold pain?

A

Deficiency of blood unable to warm limbs

Invasion of exogenous pathogenic cold slowing circulation of blood and blocking vessels

87
Q

Manifestation and pathogenesis for

pale tongue with white coating, deep thready and fading pulse?

A

Signs of blood deficiency and cold syndrome

88
Q

Actions of Dang Gui, Gui Zhi?

A

King

  • Tonify blood
  • Move blood
  • Open meridian
  • Warm meridian
89
Q

Bai Shao, Xi Xin actions?

A

Deputy

  • Nourish and invigorate blood
  • Dispel cold from meridians
90
Q

Tong Cao actions?

A

Assistant

  • Circulate and remove blood stagnation
  • Warm meridians
  • Dispel cold
91
Q

Da Zao, Gan Cao actions?

A

Messengers

  • Harmonize decoction
  • Tonify middle jiao Qi
92
Q

Characteristics of combination for Dang Gui Si Ni Tang?

A

Combo of warm yang and dispel cold with nourish blood and open meridians.

Warms yang without generating too much heat. Tonifies witout creating stagnation.

93
Q

Key symptoms for Dang Gui Si Ni Tang?

A

Cold hands and feet

Pale tongue with white coating

Thin and weak pulse

94
Q

Western diseases?

A
  • Chronic rheumatoid arthritis
  • Dysmennorrhea
  • Frostbite
  • Raynaud’s
  • Thromboangitis
95
Q

What herbs could be added to Dang Gui Si Ni Tang for dysmenorrhea?

A
  1. Wu Yao (Lindera root) Regulate Qi
  2. Xiao Hui Xiang (Fennel fruit) Warm interior, Expel Cold

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